JPH04279175A - 不整脈制御装置および不整脈検出方法 - Google Patents
不整脈制御装置および不整脈検出方法Info
- Publication number
- JPH04279175A JPH04279175A JP3161589A JP16158991A JPH04279175A JP H04279175 A JPH04279175 A JP H04279175A JP 3161589 A JP3161589 A JP 3161589A JP 16158991 A JP16158991 A JP 16158991A JP H04279175 A JPH04279175 A JP H04279175A
- Authority
- JP
- Japan
- Prior art keywords
- arrhythmia
- control device
- detection method
- neural network
- detected
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000000034 method Methods 0.000 title description 10
- 206010003119 arrhythmia Diseases 0.000 claims abstract description 180
- 230000006793 arrhythmia Effects 0.000 claims abstract description 178
- 238000011282 treatment Methods 0.000 claims abstract description 32
- 230000004044 response Effects 0.000 claims abstract description 15
- 230000001537 neural effect Effects 0.000 claims abstract description 10
- 238000013528 artificial neural network Methods 0.000 claims description 75
- 238000001514 detection method Methods 0.000 claims description 49
- 208000006218 bradycardia Diseases 0.000 claims description 39
- 230000036471 bradycardia Effects 0.000 claims description 35
- 230000002861 ventricular Effects 0.000 claims description 21
- 230000000694 effects Effects 0.000 claims description 19
- 230000000747 cardiac effect Effects 0.000 claims description 15
- 230000006870 function Effects 0.000 claims description 13
- 239000008280 blood Substances 0.000 claims description 11
- 210000004369 blood Anatomy 0.000 claims description 11
- 230000015654 memory Effects 0.000 claims description 10
- 238000003745 diagnosis Methods 0.000 claims description 7
- 206010061592 cardiac fibrillation Diseases 0.000 claims description 6
- 230000002600 fibrillogenic effect Effects 0.000 claims description 6
- 238000012545 processing Methods 0.000 claims description 6
- 230000017531 blood circulation Effects 0.000 claims description 3
- 238000002847 impedance measurement Methods 0.000 claims description 3
- 238000002513 implantation Methods 0.000 claims description 3
- 238000012549 training Methods 0.000 claims description 3
- 230000003213 activating effect Effects 0.000 claims description 2
- 230000001960 triggered effect Effects 0.000 claims 2
- 230000035945 sensitivity Effects 0.000 description 55
- 208000003663 ventricular fibrillation Diseases 0.000 description 42
- 238000002560 therapeutic procedure Methods 0.000 description 35
- 230000033764 rhythmic process Effects 0.000 description 31
- 230000035939 shock Effects 0.000 description 30
- 208000001871 Tachycardia Diseases 0.000 description 18
- 238000010586 diagram Methods 0.000 description 15
- 208000010496 Heart Arrest Diseases 0.000 description 14
- 206010047302 ventricular tachycardia Diseases 0.000 description 13
- 230000006794 tachycardia Effects 0.000 description 9
- 208000028659 discharge Diseases 0.000 description 8
- 208000003734 Supraventricular Tachycardia Diseases 0.000 description 7
- 238000013194 cardioversion Methods 0.000 description 7
- 238000009258 post-therapy Methods 0.000 description 6
- 238000011084 recovery Methods 0.000 description 6
- 238000012790 confirmation Methods 0.000 description 5
- 238000002633 shock therapy Methods 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 230000002457 bidirectional effect Effects 0.000 description 4
- 239000003990 capacitor Substances 0.000 description 4
- 230000001934 delay Effects 0.000 description 4
- 230000005284 excitation Effects 0.000 description 4
- 210000001087 myotubule Anatomy 0.000 description 4
- 238000003909 pattern recognition Methods 0.000 description 4
- 230000002028 premature Effects 0.000 description 4
- 210000005245 right atrium Anatomy 0.000 description 4
- 210000005241 right ventricle Anatomy 0.000 description 4
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 3
- 230000009471 action Effects 0.000 description 3
- 238000004891 communication Methods 0.000 description 3
- 230000008602 contraction Effects 0.000 description 3
- 210000002837 heart atrium Anatomy 0.000 description 3
- 230000000004 hemodynamic effect Effects 0.000 description 3
- 238000005086 pumping Methods 0.000 description 3
- 238000000718 qrs complex Methods 0.000 description 3
- 230000000638 stimulation Effects 0.000 description 3
- 208000008131 Ventricular Flutter Diseases 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000003044 adaptive effect Effects 0.000 description 2
- 238000003491 array Methods 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 238000010009 beating Methods 0.000 description 2
- 210000004556 brain Anatomy 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 230000001862 defibrillatory effect Effects 0.000 description 2
- 230000009977 dual effect Effects 0.000 description 2
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- 210000005003 heart tissue Anatomy 0.000 description 2
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- 229910052760 oxygen Inorganic materials 0.000 description 2
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- 230000036387 respiratory rate Effects 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 230000000472 traumatic effect Effects 0.000 description 2
- 230000001515 vagal effect Effects 0.000 description 2
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 206010003658 Atrial Fibrillation Diseases 0.000 description 1
- 206010008469 Chest discomfort Diseases 0.000 description 1
- 208000007101 Muscle Cramp Diseases 0.000 description 1
- 102100026827 Protein associated with UVRAG as autophagy enhancer Human genes 0.000 description 1
- 101710102978 Protein associated with UVRAG as autophagy enhancer Proteins 0.000 description 1
- 208000007888 Sinus Tachycardia Diseases 0.000 description 1
- 208000005392 Spasm Diseases 0.000 description 1
- 206010042600 Supraventricular arrhythmias Diseases 0.000 description 1
- 208000003443 Unconsciousness Diseases 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 239000002876 beta blocker Substances 0.000 description 1
- 229940097320 beta blocking agent Drugs 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000000739 chaotic effect Effects 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 239000013256 coordination polymer Substances 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000035487 diastolic blood pressure Effects 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 230000009177 electrical depolarization Effects 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 230000004217 heart function Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000007257 malfunction Effects 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 230000028161 membrane depolarization Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000000661 pacemaking effect Effects 0.000 description 1
- 230000035485 pulse pressure Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000000246 remedial effect Effects 0.000 description 1
- 230000002336 repolarization Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 210000001013 sinoatrial node Anatomy 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 230000002889 sympathetic effect Effects 0.000 description 1
- 230000035488 systolic blood pressure Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
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- 231100000331 toxic Toxicity 0.000 description 1
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- 238000012546 transfer Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
- A61N1/39—Heart defibrillators
- A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
- A61N1/3962—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion in combination with another heart therapy
- A61N1/39622—Pacing therapy
Landscapes
- Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Radiology & Medical Imaging (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Hematology (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- Electrotherapy Devices (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US54795890A | 1990-07-03 | 1990-07-03 | |
US547958 | 1990-07-03 |
Publications (1)
Publication Number | Publication Date |
---|---|
JPH04279175A true JPH04279175A (ja) | 1992-10-05 |
Family
ID=24186848
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP3161589A Pending JPH04279175A (ja) | 1990-07-03 | 1991-07-02 | 不整脈制御装置および不整脈検出方法 |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP0465241B1 (de) |
JP (1) | JPH04279175A (de) |
DE (1) | DE69130437T2 (de) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH05207985A (ja) * | 1991-11-29 | 1993-08-20 | Nec Corp | 心電図波形認識方式 |
JPH06205843A (ja) * | 1992-11-27 | 1994-07-26 | Daidan Kk | レート応答型ペースメーカ |
JPH06205749A (ja) * | 1992-11-13 | 1994-07-26 | Masood Akhtar | 2重チェンバ検出法を用いた抗頻拍装置の検出アルゴリズム |
JPH07504597A (ja) * | 1992-06-30 | 1995-05-25 | メドトロニック インコーポレーテッド | 電気的医療用刺激器と電気的刺激方法 |
JPH08322952A (ja) * | 1995-05-31 | 1996-12-10 | Medtronic Inc | 植込型除細動器に適用可能な不整脈を識別する方法及び装置 |
JP2019033878A (ja) * | 2017-08-15 | 2019-03-07 | イーグルマトリックス株式会社 | 異常検出方法、異常検出装置及び異常検出プログラム |
Families Citing this family (34)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2138045A1 (en) * | 1992-06-30 | 1994-01-06 | Gust H. Bardy | Method and apparatus for treatment of heart disorders |
DE4337110C1 (de) * | 1993-10-29 | 1994-11-03 | Michael A J Dietl | Verfahren und Vorrichtung zum Betreiben eines Defibrillators |
WO1996035476A1 (en) * | 1995-05-08 | 1996-11-14 | Pacesetter Ab | Venous pooling detection and therapy device |
US5700282A (en) * | 1995-10-13 | 1997-12-23 | Zabara; Jacob | Heart rhythm stabilization using a neurocybernetic prosthesis |
SE9504258D0 (sv) * | 1995-11-28 | 1995-11-28 | Pacesetter Ab | Device and method for generating a synthesized ECG |
DE69723899T2 (de) * | 1996-02-12 | 2004-06-17 | St. Jude Medical Ab | Taktempfindlicher Herzschrittmacher |
DE19654494A1 (de) * | 1996-10-28 | 1998-05-07 | Biotronik Mess & Therapieg | Implantierbares Stimulationsgerät |
US6115633A (en) * | 1996-10-28 | 2000-09-05 | Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin | Implantable stimulator |
US5871507A (en) * | 1997-06-06 | 1999-02-16 | Pacesetter Ab | Implantable cardiac assist device having differential signal detection between unipolar atrial and ventricular leads using signal morphology analysis |
EP0947163B1 (de) * | 1998-02-26 | 2006-12-13 | Alfred Schiller | Vorrichtung zum Erzeugen eines Hilfssignals zum Bestimmen des Zeitpunkts einer Herzdefibrillation |
DE59914044D1 (de) | 1998-02-26 | 2007-01-25 | Alfred Schiller | Vorrichtung zum Erzeugen eines Hilfssignals zum Bestimmen des Zeitpunkts einer Herzdefibrillation |
SE0003480D0 (sv) | 2000-09-27 | 2000-09-27 | St Jude Medical | Implantable heart stimulator |
DE10103947A1 (de) * | 2001-01-30 | 2002-08-14 | Siemens Ag | Vorrichtung zum Auffinden der Auslöser anfallsartig auftretender Krankheiten |
WO2005007075A2 (en) * | 2003-07-21 | 2005-01-27 | Ai-Semi Ltd. | Adaptive resynchronization therapy system |
WO2015127466A2 (en) | 2014-02-24 | 2015-08-27 | Element Science, Inc | External defibrillator |
US10953234B2 (en) | 2015-08-26 | 2021-03-23 | Element Science, Inc. | Wearable devices |
PT3367897T (pt) | 2015-10-27 | 2021-05-25 | Cardiologs Tech | Processo automático para traçar ou categorizar um eletrocardiograma |
US10426364B2 (en) | 2015-10-27 | 2019-10-01 | Cardiologs Technologies Sas | Automatic method to delineate or categorize an electrocardiogram |
US11331034B2 (en) | 2015-10-27 | 2022-05-17 | Cardiologs Technologies Sas | Automatic method to delineate or categorize an electrocardiogram |
US11672464B2 (en) | 2015-10-27 | 2023-06-13 | Cardiologs Technologies Sas | Electrocardiogram processing system for delineation and classification |
US10827938B2 (en) | 2018-03-30 | 2020-11-10 | Cardiologs Technologies Sas | Systems and methods for digitizing electrocardiograms |
US11238334B2 (en) | 2017-04-04 | 2022-02-01 | Hailo Technologies Ltd. | System and method of input alignment for efficient vector operations in an artificial neural network |
US11551028B2 (en) | 2017-04-04 | 2023-01-10 | Hailo Technologies Ltd. | Structured weight based sparsity in an artificial neural network |
US11615297B2 (en) | 2017-04-04 | 2023-03-28 | Hailo Technologies Ltd. | Structured weight based sparsity in an artificial neural network compiler |
US10387298B2 (en) | 2017-04-04 | 2019-08-20 | Hailo Technologies Ltd | Artificial neural network incorporating emphasis and focus techniques |
US11544545B2 (en) | 2017-04-04 | 2023-01-03 | Hailo Technologies Ltd. | Structured activation based sparsity in an artificial neural network |
JP2020531225A (ja) | 2017-08-25 | 2020-11-05 | カーディオログス テクノロジーズ エスアーエス | 心電図の分析のためのユーザインターフェース |
US11253715B2 (en) | 2018-10-10 | 2022-02-22 | Element Science, Inc. | Wearable medical device with disposable and reusable components |
US12016694B2 (en) | 2019-02-04 | 2024-06-25 | Cardiologs Technologies Sas | Electrocardiogram processing system for delineation and classification |
WO2022034480A1 (en) | 2020-08-10 | 2022-02-17 | Cardiologs Technologies Sas | Electrocardiogram processing system for detecting and/or predicting cardiac events |
US11811421B2 (en) | 2020-09-29 | 2023-11-07 | Hailo Technologies Ltd. | Weights safety mechanism in an artificial neural network processor |
US11221929B1 (en) | 2020-09-29 | 2022-01-11 | Hailo Technologies Ltd. | Data stream fault detection mechanism in an artificial neural network processor |
US11237894B1 (en) | 2020-09-29 | 2022-02-01 | Hailo Technologies Ltd. | Layer control unit instruction addressing safety mechanism in an artificial neural network processor |
US11263077B1 (en) | 2020-09-29 | 2022-03-01 | Hailo Technologies Ltd. | Neural network intermediate results safety mechanism in an artificial neural network processor |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4967749A (en) * | 1987-10-06 | 1990-11-06 | Leonard Bloom | Hemodynamically responsive system for and method of treating a malfunctioning heart |
US4869252A (en) * | 1988-01-11 | 1989-09-26 | Telectronics N.V. | Apparatus and method for controlling pulse energy in antitachyarrhythmia and bradycardia pacing device |
EP0329356A3 (de) * | 1988-02-17 | 1991-10-09 | Wayne State University | Physiologische Wellenformanalyse |
US4905697A (en) * | 1989-02-14 | 1990-03-06 | Cook Pacemaker Corporation | Temperature-controlled cardiac pacemaker responsive to body motion |
-
1991
- 1991-07-02 JP JP3161589A patent/JPH04279175A/ja active Pending
- 1991-07-03 DE DE69130437T patent/DE69130437T2/de not_active Expired - Fee Related
- 1991-07-03 EP EP91306051A patent/EP0465241B1/de not_active Expired - Lifetime
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH05207985A (ja) * | 1991-11-29 | 1993-08-20 | Nec Corp | 心電図波形認識方式 |
JPH07504597A (ja) * | 1992-06-30 | 1995-05-25 | メドトロニック インコーポレーテッド | 電気的医療用刺激器と電気的刺激方法 |
JPH06205749A (ja) * | 1992-11-13 | 1994-07-26 | Masood Akhtar | 2重チェンバ検出法を用いた抗頻拍装置の検出アルゴリズム |
JPH06205843A (ja) * | 1992-11-27 | 1994-07-26 | Daidan Kk | レート応答型ペースメーカ |
JPH08322952A (ja) * | 1995-05-31 | 1996-12-10 | Medtronic Inc | 植込型除細動器に適用可能な不整脈を識別する方法及び装置 |
JP2019033878A (ja) * | 2017-08-15 | 2019-03-07 | イーグルマトリックス株式会社 | 異常検出方法、異常検出装置及び異常検出プログラム |
Also Published As
Publication number | Publication date |
---|---|
EP0465241B1 (de) | 1998-11-04 |
DE69130437T2 (de) | 1999-05-12 |
DE69130437D1 (de) | 1998-12-10 |
EP0465241A3 (en) | 1994-06-29 |
EP0465241A2 (de) | 1992-01-08 |
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